Individual ProviderRoselida ObareRegistered NurseNursing Service ProvidersPractice Address87 Jordan Ln, Middletown, NY 10940-1605(914) 282-2474PECOS EnrollmentBased on the most recent information from CMS, provider Roselida Obare does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1235809542Provider TypeIndividualFull NameObare, RoselidaGenderFemaleSole ProprietorYesEnumeration Date9/17/2021Last Updated9/17/2021Contact InformationPractice LocationPractice Address87 Jordan Ln, Middletown, NY 10940-1605Phone(914) 282-2474FaxUnlisted FaxMailing LocationMailing Address87 Jordan Ln, Middletown, NY 10940-1605PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense678300New York